Individual provider Active NPI

Jay D Haar, MD PSYCHIATRIST

  • Psychiatry Physician
  • Mansfield, OH
National Provider Identifier
1508930629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35041720H Issued in OH
Practice address
605 S Trimble Rd
Ste D
Mansfield, OH 44906
Phone
(419) 756-9975
Fax
(419) 756-1405
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35041720H OH Primary

Addresses

Primary practice location

605 S Trimble Rd
Ste D
Mansfield, OH 44906

Mailing address

605 S Trimble Rd
Ste D
Mansfield, OH 44906
Phone (419) 756-9975

Other identifiers 1

IdentifierTypeStateIssuer
000000219736OtherOHANTHEM BCBS OHIO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35041720HOHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Life Steps Inc PastSince Jun 15, 1992 Accepting new patients
Dr Jay D Haar PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508930629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD",
            "address_2": "STE D",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44906",
            "telephone_number": "419-756-9975",
            "fax_number": "419-756-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD",
            "address_2": "STE D",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44906",
            "telephone_number": "419-756-9975",
            "fax_number": "419-756-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAR",
        "first_name": "JAY",
        "middle_name": "D",
        "credential": "MD PSYCHIATRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35041720H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OHIO",
            "identifier": "000000219736",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.